Code of Federal Regulations (Last Updated: May 6, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter F - Quality Improvement Organizations |
Part 476 - Quality Improvement Organization Review |
Subpart B - XXX |
General Provisions |
§ 476.106 - Exceptions to PRO notice requirements.
Latest version.
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(a)
Imminent danger to individuals or public health. When the PRO determines that requested information is necessary to protect against an imminent danger to individuals or the public health, the notification required in § 476.105 may be sent simultaneously with the disclosure.(b)
Fraud or Abuse. The notification requirement in § 476.105 does not apply if—(1) The disclosure is made in an investigation of fraud or abuse by the Office of the Inspector General or the General Accounting Office; or
(2) The disclosure is made in an investigation of fraud or abuse by any other Federal or State fraud or abuse agency and the investigative agency specifies in writing that the information is related to a potentially prosecutable criminal offense.